0001127602-20-013238.txt : 20200403 0001127602-20-013238.hdr.sgml : 20200403 20200403173746 ACCESSION NUMBER: 0001127602-20-013238 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200401 FILED AS OF DATE: 20200403 DATE AS OF CHANGE: 20200403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark James David CENTRAL INDEX KEY: 0001757584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-01011 FILM NUMBER: 20774980 MAIL ADDRESS: STREET 1: ONE CVS DRIVE CITY: WOONSOCKET STATE: RI ZIP: 02760 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CVS HEALTH Corp CENTRAL INDEX KEY: 0000064803 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 050494040 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE CVS DR. CITY: WOONSOCKET STATE: RI ZIP: 02895 BUSINESS PHONE: 4017651500 MAIL ADDRESS: STREET 1: ONE CVS DR. CITY: WOONSOCKET STATE: RI ZIP: 02895 FORMER COMPANY: FORMER CONFORMED NAME: CVS CAREMARK CORP DATE OF NAME CHANGE: 20070509 FORMER COMPANY: FORMER CONFORMED NAME: CVS/CAREMARK CORP DATE OF NAME CHANGE: 20070322 FORMER COMPANY: FORMER CONFORMED NAME: CVS CORP DATE OF NAME CHANGE: 19970128 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2020-04-01 0000064803 CVS HEALTH Corp CVS 0001757584 Clark James David ONE CVS DRIVE WOONSOCKET RI 02895 1 SVP, Cont & Chief Acct Officer Common Stock 2020-04-01 4 F 0 681 58.34 D 11321.2554 D Common Stock (restricted) 2020-04-01 4 A 0 7713 58.34 A 20204 D Stock Option 58.34 2020-04-01 4 A 0 17157 58.34 A 2021-04-01 2030-04-01 Common Stock 17157 17157 D Stock Option 74.29 2015-04-01 2021-04-01 Common Stock 5350 5350 D Stock Option 102.26 2016-04-01 2022-04-01 Common Stock 6059 6059 D Stock Option 104.82 2017-04-01 2023-04-01 Common Stock 7044 7044 D Stock Option 78.05 2018-04-03 2024-04-03 Common Stock 9050 9050 D Stock Option 62.21 2019-04-01 2025-04-01 Common Stock 7513 7513 D Stock Option 54.19 2020-04-01 2029-04-01 Common Stock 24240 24240 D Surrrender of shares in payment of withholding taxes due upon the vesting of restricted stock awards. Consists of restricted stock units awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse in four equal installments, commencing 4/1/2021. Option becomes exercisable in four equal annual installments, commencing 4/1/2021. Remaining options became exercisable in four equal annual installments beginning on 4/1/2015. Options became exercisable in four equal annual installments beginning on 4/1/2016. Options became exercisable in four equal annual installments beginning on 4/1/2017. Options became exercisable in four equal annual installments beginning on 4/3/2018. Options became exercisable in four equal annual installments, commencing 4/1/2019. Options became exercisable in four equal annual installments, commencing 4/1/2020. /s/ James D. Clark 2020-04-03